Fibroids are the benign tumors of uterine muscles. They can be present in any no. and can appear at any age but are common at the middle-age. They can be silent i.e. do not cause any symptoms in the woman and are often detected on USG done for the other reasons. If silent, fibroids usually do not require any treatment unless of very huge size.
The symptoms could be anything from increased bleeding during the menses, severe pain, frequent menses, or irregular bleeding in between the menses and sometimes pressure symptoms like urinary complaints.
The treatment depends on the age of the patient and the interest in pregnancy. It could be myomectomy in which only the fibroid(s) is/are removed or hysterectomy where fibroids along with the uterus are removed. It is very rare for the fibroids to turn malignant.
This is a condition in which a woman experiences increased menstrual flow (either amount or duration) without any demonstrable abnormality in the uterus on investigations. It may need D&C (Dilatation and curettage) as an additional diagnostic measure.
The treatment varies from hormonal treatment to hysterectomy.
Termination of an unwanted pregnancy is called as MTP. If the woman desires MTP it is better to consult the gynaecologist as early as possible.
Pills for MTP are best suited for those who are less than 7 weeks pregnant. Thereafter surgical method is the only choice left for the MTP. If the pregnancy is still advanced (>13 weeks) then the pregnancy is terminated by inducing pains, like in delivery. The rates of complications are less when the duration of pregnancy is less.
Pelvic Infection :
Pelvic Inflammatory Disease (PID) is the name for the condition of pelvic infection. It may follow genital infections, abortion or some other infection. If the infection is marked the woman complains of pain in her lower abdomen, sometimes pain during intercourse and sometimes pain she develops a foul smelling vaginal discharge.
Many cases of PID are silent i.e does not produce any symptom and so the women does not go to a doctor and receive treatment and PID becomes chronic. The inflammation may cause damage to the Fallopian tubes and make the woman infertile. In these cases the illness is diagnosed unexpectedly during investigations for infertility. When Pelvic inflammatory disease is diagnosed, treatment is given. The woman is prescribed antibiotics which may be taken by mouth. If the infection is severe she may not respond to the oral antibiotics, could lie very ill and may need hospitalization. In this case, antibiotics are given in the form of injections.
Vaginal Discharge :
One of the most common reasons for a woman to see a doctor is for the vaginal discharge. Vaginal discharges are of several kinds, some requiring treatment and others being perfectly normal and of no pathological importance. The discharge is increased normally around ovulation, during sexual excitement, during anxiety, when sexual frustration occurs, or if the women is ill or emotionally upset.
Irritating Vaginal discharges :
The discharge causes itching and pain in the vagina and around its opening in the vulva, the condition is generally due to some disease and certainly requires investigation and treatment. The discharge could begreyish with fishy odour.
Infection probably gets into the vagina from fungal infection, intestinal tract, but may spread by sexual intercourse.
Many a times the sexual partner often harbours the infection without knowing it so treatment should be given to him as well as to the woman.
It is the surgical procedure to remove uterus or womb. It is usually the procedure done in the perimenopausal period but uncommonly at an early age and rarely just after delivery.
The common reasons for doing hysterectomy are fibroid(s), abnormal bleeding, prolapse of the uterus, chronic infection of the pelvis not responding to antibiotics and different types of cancers of the reproductive system.
While selecting the type of hysterectomy, consideration is given to the age of the patient (ovaries are preserved in younger patients), nature of the disease, associated conditions, etc.
At Patankar Hospital, all the types of hysterectomies are performed with equal skills. The consultants will guide you regarding the best suited method for you. With the improved techniques of laparoscopic surgeries, it is a preferred method over the abdominal hysterectomy.
Types of Hysterectomy :
According to route of its removal
According to different type & amount of tissue removed